Flashcards in Pediatrics Deck (105)
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1
What does epiphyseal-metaphyseal "bucket fracture" suggest in infant?
shaking of limbs- abuse in infant
2
Diagnosis of shaken baby syndrome
optho exam: retinal hemorrhages
noncontrast CT: subdural hematoma
3
What drugs predispose to congenital heart disease (4)
alcohol
lithium
thalidomide
phenytoin
4
Maternal illness predisposing to CHD
DM, PKU
5
Infection predisposing to CHD
rubella
6
Noncyanotic heart defects (3Ds)
VSD, ASD, PDA
shunt L to R
7
Cyanotic heart defects (5 Ts)
Truncus arteriosus (One arterial vessel)
Transposition of great vessels (2 arteries switched)
Tricuspid atresia (3)
Tetralogy of Fallot (4)
Total anomolous pulmonary venous return (5 words)
8
What CHD presents with cyanosis within first few hours of life
Transposition
9
Heart defect associated with Down syndrome
ASD, endocardial defects
10
Heart defect associated with Congenital rubella
PDA
11
Heart defect associated with Turner syndrome
Coarctation of the aorta
12
Heart defect associated with neonatal lupus
congenital heart block
13
Heart defect associated with Williams syndrome
supravalvular aortic stenosis
14
Heart defect associated with DiGeorge
Tetralogy
15
Heart defect associated with maternal lithium use
Ebstein's anomoly
16
Heart defect associated with neonatal thyrotoxicosis
Heart failure
17
Heart defects associated with maternal diabetes
asymmetric septal hypertrophy
transposition
18
Neonate: Harsh holosystolic murmur at lower left sternal border
VSD
19
Neonate: wide and fixed, split S2; systolic ejection murmur LUSB
ASD
20
Exam associated with PDA
Continuous "machine-like murmur", loud S2, wide pulse pressure, bounding peripheral pulses
21
Holt-Oram syndrome (3)
absent radii, ASD, first degree heart block
22
Given to close/ open PDA
Indomethacin: Closes
PGE1: opens
23
Where is the most common location of coartation?
Just below the L subclavian artery
24
Associated with "3"s sign on CXR, rib notching
Coartcation
25
What is required to survive transposition
septal defect and PDA
26
CXR shows "egg-shaped silhouette" and increased pulm vascular markings
Transposition
27
Anomolies with tetralogy (PROVe)
Pulmonary stenosis (most imp indicator)
RVH
Overriding aorta
VSD
28
What age stranger anxiety develops
6mo
29
What age pincer grasp develops
12mo
30